Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5441
Country/Region: Botswana
Year: 2007
Main Partner: Otse Village Association
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $58,463

Funding for Care: Adult Care and Support (HBHC): $58,463

07-C0606: Otse Home Based Care Society.

This activity has USG Team Botswana Internal Reference Number C0606. This activity links to the following: C0602 & C0603 & C0604 & C0605 & C0607 & C0608 & C0613 & C0614 & C0618 & C0802 & X1406.

The Otse HBC Society (HBCS) provides care for chronically and terminally ill patients, including the elderly, in their homes. Otse HBCS provides equipment for better physical care and symptomatic treatment before ARV use. Otse HBC provides nutritional support to the disadvantaged, and liaises with other agencies, professionals, and donors to provide physical, emotional, and material support. In FY07, Otse HBCS will provide a range of palliative care services to 500 PLWHA over 3 years in homes and at a day care centre facility. The services that are available to PLWHA include: •Pain relief, through provision of drugs like analgesics and physical methods e.g., heat application to reduce advancement of HIV/AIDS. •Counseling people on ARV adherence and how to cope with side effects •Providing the disadvantaged with nutritional support, educating them on the importance of good nutrition, and helping them to be self sufficient by providing themselves with food. •Respite care for seriously affected patients. Otse is providing 100 households a month access to respite care at their day care center. •Providing spiritual care at a chapel where pastors can conduct prayers for patients, and patients can talk with one another about their conditions.

To ensure that PLWHA receive a high standard of palliative care, Otse HBCS will employ a two-pronged approach and train both community-based HBC volunteers as well as primary caregivers. Over the life of the program, a total of 200 primary caregivers will be trained in a 1-2 day workshop based on an existing MOH manual. These primary caregivers will back up the palliative care being provided by the CHBC volunteers. HBCS volunteers and primary caregivers will continue to receive refresher on-the-job training. In FY07, Otse HBCS will also train an additional 40 volunteers to provide palliative care. The volunteer training workshop is a 5 day workshop. The 5-day volunteer workshop training will be followed by a weekly in-service training for all volunteers. PLWHA who are currently involved in support groups will be included in the trainings. Objectives: •To reduce the burden of care for chronic and terminally ill PLWHA in the community. •To empower primary and volunteer caregivers to provide quality care.

This organization will be monitored by the Prime Partner to ensure provision of quality services to PLWHA. The organization will also participate in tracking data that is relevant in responding to the needs of the MOH PCU. In addition, it will monitor its activities using its own organizational palliative care indicators. The Prime Partner will assist the organization to develop its detailed implementation plan and the monitoring performance plan.